Hics Basics Part 2 Eq

8/9/2019 Hics Basics Part 2 Eq

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1

Application of

Incident Action Plan andForms – Earthquake

Hospital IncidentCommand System

This material has been developed for training purposes; do not share, distribute, transmit or reproduce without prior written consent of California Hospital Association

This course was developed by the CHA Hospital Preparedness Program with grant funds provided by the U.. !epartment of Health " Human ervices Assistant

ecretary for Preparedness " #esponse Hospital Preparedness Program and awarded by the California !epartment of Public Health. $o part of this course or itsmaterials shall be copied or utili%ed for monetary gain.


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2

• Demonstrate the Incident Action PlanningProcess

• Demonstrate the use of HICS Forms

• Implement the use of the Incident Response

Guides

Obecti!es


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Scenario "ased Implementation

• Discuss and rehearse practicalimplementation of the Incident Action

Planning process utili!ing HICS forms and

the Incident Response Guides

• "tili!e a #$a%le $op& learning process


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Incident Action Plannin#

1( Assess the Situation

2( Set the )perational Period

( Determine Safet* Priorities + ,sta%lish Incident )%-ecti.es

'( Determine /ranch0Section )%-ecti.es

( Determine Strategies + $actics

( Determine 3eeded Resources

4( Issue Assignments5( Implement Actions

6( Reassess + Ad-ust Plans


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Scenario

• A 4(57magnitude earth8ua9e occurs along a fault !one: miles from *our hospital( Ground sha9ing occurs

impacting a count* region( ;oderate to ma-or

damage is reported for 2:: s8uare miles( ;ultiple

se.ere aftershoc9s are e


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• >our hospital has sustained moderate to se.eredamage(

• $he ,mergenc* Department and outpatientsurger* are non7functional due to damage and

must %e relocated(

•;ain =ater and po=er ser.ices are disrupted?

ho=e.er emergenc* po=er @generators is

functioning( $elephone and internet ser.ice is

do=n(

Scenario


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Scenario• $imeB :5:

• eatherB Clear? 5 F? no =inds• ithin 1 minutes large num%ers of in-ured are

presenting to the hospital for care( ;an* =ho

are not in-ured see9 shelter and reassurance

from medical pro.iders(


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• $ime until restoration of main po=er? =ater?phone? internetB "n9no=n

Is this an incidentE

hat are *our first actionsE

ho is in chargeE

First Actions


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• "se HICS form 21'B )perational og

• Complete HICS form 2:1B Incident /riefing ,.ent Histor* and Current Actions Summar*

• /egin form 2:2B Incident )%-ecti.es eather0en.ironmental implications for period

Step $% Assess the Situation



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1:

&hich Positions to Acti!ate'


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11

Immediate (ime Period

Position Immedi

ate

Intermed

iate

Exten

ded

Recovery

Incident Commander X X X XPublic Information Ocer X X X X

Liaison Ocer X X X XSafety Ocer X X X XMedical-Technical Specialist:

Seismic or Structural Enineer

X X

Operations Section Chief X X X XMedical "are #ranch $irector X X X XInfrastructure #ranch $irector X X X XSecurity #ranch $irector X X X X

#usiness "ontinuity #ranch$irector

X

Patient %amily &ssistance

#ranch $ir'

X X X

Planning Section Chief X X X X(esources )nit Leader X X X X

Situation )nit Leader X X X X$ocumentation )nit Leader X X$emobili*ation )nit Leader X X

Logistics Section Chief X X X XSer+ice #ranch $irector X X X XSupport #ranch $irector X X X X

Finance /Administration

Section Chief

X X X X

Time )nit Leader X X X

Procurement )nit Leader X X X"ompensation,"laims )nit

Leader

X X X

"ost )nit Leader X X X


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• $he Incident Commander names theincident

• If the incident is a communit*7%asedincident? the appropriate -urisdiction =illname the incident @e(g(? count*? cit*? ,;S

• $he incident name should %e documentedon all forms

)amin# the Incident


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• HICS form 2:2B Incident )%-ecti.es )perational Period Date0$ime

• Incident Commander sets the )perationalPeriodo /ased on num%er of simultaneous acti.itieso Ho= 8uic9l* the situation is changing

• An )perational Period %rea9s the incidentdo=n into managea%le timeframes

Step *% Set the Operational Period



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• Identif* Incident )%-ecti.es @these arethe o.erarching o%-ecti.es that =ill lastthroughout the =hole response

• HICS form 2:2B Incident )%-ecti.es

Step +% ,etermine Safety Priorities -Incident Obecti!es



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.tili/e the Incident 0esponse 1uide

Earthquake:

Pro!ide for patient care and mana#ement

Pro!ide for the safety of patients2 staff2families2 and !isitors

Pro!ide for continuin# operational status ofthe hospital or safe e!acuation from thehospital

Control Obecti!es


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• It has %een : minutes since the incident(

• $here ha.e %een multiple aftershoc9s

• $he emergenc* department and outpatientsurger* ha.e %een determined to %e unsafe andmust %e e.acuated

• )ther areas of the hospital are underassessment? ho=e.er structural damage is note


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• Assess the Safet* issues

• hat ha!ards e


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• Prepare a statement for the media

• Prepare a statement for the staff? patients and.isitors @e(g(? situation? status? safet* precautions?ne


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• ho or =hat entit* operates as the count* contact0;H)AC?and ho= do *ou ma9e contactE

• ho else should %e notified of the situationE

• ho should %e notified of hospital statusE /ed statusE Ho=E

• ho is the source of go.ernment resources in *our local planE@e(g(? local ,;S Department )perations Center @D)C? PHD

D)C? Count*0Cit* ,mergenc* )perations Center

• e* contacts should %e determined prior to the incident

Side )ote%4iaison Officer


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• "tili!e HICS forms

•Form 21' 7 )perational og

Side )ote%,ocumentin# your Actions


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• Document on HICS 2:' Assignment ist

• $he* are %ased on the Incident )%-ecti.es

• $hese are %ased on =hat is desired to %eachie.ed %* the Section in that operational period

• )%-ecti.es need to %e S;AR$ @Simple?;easura%le? Achie.a%le? Realistic? $ime Sensiti.e

+ $as9 )riented


Step 5% ,etermine "ranch6Section Obecti!es


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• A common pro%lem during e


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• Strategies + tactics are ho= *our /ranch0Section isgoing to achie.e the o%-ecti.es

• hat actions do *ou need to ta9eE

• "se *our facilit* response plans and IncidentResponse Guides

• Record strategies + tactics on form 2:' /ranch Assignment ist

Incident Action Plannin#Step 7% ,etermine Strate#ies - (actics


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• here can patients %e mo.ed toE• hat personnel resources do *ou needE

• hat e8uipment and0or supplies do *ou needE• hat resources do *ou need in the patient

collection0holding areaE

• hat communication de.ices do *ou needE• Document resource acti.itiesB Resources assigned @form 2:' Resource re8uests @form 21 Actions ta9en to utili!e and o%tain resources @form 21'

Step 8% ,etermine )eeded 0esources



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• ho =ill %e assigned to the unitsE

• Fill in the assignments on form 2:' Assignment ist

• Are there other %ranches that need acti.atedE

Step 9% Issue Assi#nments



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• For the first )perational Period the Incident Action Plan should %edone =ithin :7' minutes

• hat ma9es up the Incident Action PlanE Form 2:1 7 Incident /riefing

Form 2:2 7 Incident )%-ecti.es Form 2: 7 Incident Assignments Form 2:' 7 /ranch Assignments Form 21A 7 Incident Action Plan Safet* Anal*sis

• $he Planning Section compiles the forms to create the Incident ActionPlans



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IAP :uick Start

• 3e= form

• Can %e used for small incidents

• )r for a rapid start to a large incident andthen e


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IAP Co!er Sheet

• Can %e used for the IAP Kuic9 Start or fullIncident Action Plan forms

• Can ma9e different colors if *ou =ant todifferentiate )perational Periods


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• Put *our acti.ities 0 plans into action

• hat are some of these acti.itiesE

Step ;% Implement Actions



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• It is no= 1::: 1( hrs into the incident

• "tilit* =or9ers e


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• $o=ards the end of the operational period? *ou=ill need to e.aluate status

• Repeat steps 175

• "pdate the forms

•,.aluate and0or update *our /ranch0Section)%-ecti.es

• $his creates *our Incident Action Plan @gameplan for the ne


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• It is no= ' hours into the incident

• "tilit* repair personnel ha.e encounteredcomplications and report main po=er ma* not%e restored for da*s? potentiall* outlasting

*our generator fuel stores

•hat issues should %e consideredE

Scenario .pdate 3+


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hat are things =e need to remem%er to doE

Share information

Reco.er* 0 Restoration After Action Report

Correcti.e Actions Plan

Ho= are =e doin#'


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'

:uestions'


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Hics Basics Part 2 Eq

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